Test Bank for Introductory Maternity & Pediatric
Nursing, 5th Edition by Hatfield, 9781975163785,
Covering Chapters 1-42 | Includes Rationales
The nursing student identifies which technique as the correct one to use when giving oral medications
to an infant? - ANSWER: Use a dropper and slowly inject the liquid into the side of the infant's mouth.
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do? - ANSWER: Pull the
pinna of the ear up and back to straighten the external ear canal.
A mother of a newborn brings her child to the well child clinic the week after birth. The mother asks
the nurse if the child will get any "shots" at the next appointment. The best response from the nurse
would be: - ANSWER: "Yes, your child will get 3 shots next time. They will be the polio vaccine (called
IPV), Haemophilus influenza B vaccine (called Hib), and hepatitis B vaccine. They will be given in the
thigh."
The nurse is administering medications to a 10-year-old child who takes medications at home for a
chronic condition. The child's parent is at the bedside. What are appropriate guidelines for medication
administration to this client? Select all that apply. - ANSWER: 1. The nurse compares the child's ID
band with the medication record.
2. The nurse carefully reads the label on the side of the medication bottle.
3. The nurse documents the medication administration after giving the medication.
A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers medicine, the
best way to identify the child would be to: - ANSWER: Reread the armband
The nurse is preparing to administer regular insulin to a child following lunch. Which finding will cause
the nurse to question administering the medication? - ANSWER: The client received insulin aspart 2
hours ago.
Parents question the necessity of moving their preschooler from her room to another place to insert
her IV line. The nurse explains: - ANSWER: The importance of avoiding unpleasant experiences in the
child's room and bed in order for both to remain safe places.
The nurse is teaching a parent how to administer medications to her young child. Which instructions
are appropriate? Select all that apply. - ANSWER: 1. Gently restrain the child's head and arms.
2. Have the parent administer the medication.
3.Hold the child against the body with the head raised.
An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of this insertion
site? - ANSWER: The scalp veins are easily visualized.
The nurse is caring for an 8-year-old girl who requires medication that is only available in an enteric
tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which
statement indicates a need for further teaching? - ANSWER: "I can pinch her nose to make it easier to
swallow."
, Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part of his drug
therapy. What is the preferred injection site? - ANSWER: The vastus lateralis muscle...the largest
muscle mass in the groups
A toddler requires 1.5 mL (.05 oz) of an antibiotic given intramuscularly (IM). How will the nurse
administer this medication? - ANSWER: Divide the dose. Administer 0.75 mL (0.25 oz) IM in each
vastus lateralis.
The clinical nurse educator who oversees the emergency department in a children's hospital has
launched an awareness program aimed at reducing drug errors. What measure addresses the most
common cause of incorrect doses in the care of infants and children? - ANSWER: Having nurses check
their math calculations with a colleague before administering a drug
A 12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36 hour. The
pharmacy has 20 mg/2 mL on hand. How may milliliters would the infant receive, and what is the best
site for the injection? - ANSWER: 1.3 mL; vastus lateralis...For IM injections in infants, the mandatory
site for administration is the vastus lateralis muscle of the anterior thigh
The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old female who is
diabetic. What is the best method of medication administration? - ANSWER: Ask her where she would
like to have the nurse give the injection.
The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would
be the nurse's best approach? - ANSWER: ask if the child would like to take the medicine in a cup or
through an oral syringe
The nurse is planning to provide a preschool-age client with an oral medication. Which approach
should the nurse use to gain the child's cooperation? - ANSWER: Ask the child if a cup or oral syringe
is preferred to take the medicine.
The nurse is caring for a toddler diagnosed with iron deficiency anemia and prescribed an iron
supplement. What would the nurse include in the educational plan for the parents? Select all that
apply. - ANSWER: 1. Iron supplements may cause dark stools, so monitor for this as an expected
finding
2. Give the iron suppleiment with a liquid or food high in vitamin C (such as orange juice/oranges)
The nurse is preparing to administer an oral dose of metoclopramide to a 5-year-old child who weighs
40 lb (18.2 kg). The prescription reads metoclopramide 0.8 mg/kg/day to be given in 4 oral doses.
How many milligrams of metoclopramide would the nurse give per dose? - ANSWER: 3.65 mg per
dose...Multiply 0.8 mg by 18.2 kg, which equals 14.6 mg per day for the client's weight. Then, divide
14.6 mg by 4, the number of doses per day day, to arrive at 3.65 mg per dose.
The pediatric nurse is bringing the prescribed medication for a child but notes that the identification
band is missing. The parents are at the bedside holding the child. What is the bestmethod for
identifying the child? - ANSWER: Ask the parents to tell you his or her name and date of birth.
The nurse is providing discharge education to the parents of a 2-year-old who will be taking
amoxicillin orally at home. The nurse would include which statement in the teaching? - ANSWER: "Use
a dosing cap to measure the dosage."
A child with gastroenteritis has been unable to keep oral medication down. What nursing intervention
would be appropriate for this client? - ANSWER: Request an intravenous form of the medication.
A nurse has just given otic medication instructions to the parents of a 12-year-old child. Which
statement would indicate that the parents need further education concerning the medication? -
ANSWER: "I will pull the outer ear down and back before administering the medication."
Nursing, 5th Edition by Hatfield, 9781975163785,
Covering Chapters 1-42 | Includes Rationales
The nursing student identifies which technique as the correct one to use when giving oral medications
to an infant? - ANSWER: Use a dropper and slowly inject the liquid into the side of the infant's mouth.
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do? - ANSWER: Pull the
pinna of the ear up and back to straighten the external ear canal.
A mother of a newborn brings her child to the well child clinic the week after birth. The mother asks
the nurse if the child will get any "shots" at the next appointment. The best response from the nurse
would be: - ANSWER: "Yes, your child will get 3 shots next time. They will be the polio vaccine (called
IPV), Haemophilus influenza B vaccine (called Hib), and hepatitis B vaccine. They will be given in the
thigh."
The nurse is administering medications to a 10-year-old child who takes medications at home for a
chronic condition. The child's parent is at the bedside. What are appropriate guidelines for medication
administration to this client? Select all that apply. - ANSWER: 1. The nurse compares the child's ID
band with the medication record.
2. The nurse carefully reads the label on the side of the medication bottle.
3. The nurse documents the medication administration after giving the medication.
A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers medicine, the
best way to identify the child would be to: - ANSWER: Reread the armband
The nurse is preparing to administer regular insulin to a child following lunch. Which finding will cause
the nurse to question administering the medication? - ANSWER: The client received insulin aspart 2
hours ago.
Parents question the necessity of moving their preschooler from her room to another place to insert
her IV line. The nurse explains: - ANSWER: The importance of avoiding unpleasant experiences in the
child's room and bed in order for both to remain safe places.
The nurse is teaching a parent how to administer medications to her young child. Which instructions
are appropriate? Select all that apply. - ANSWER: 1. Gently restrain the child's head and arms.
2. Have the parent administer the medication.
3.Hold the child against the body with the head raised.
An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of this insertion
site? - ANSWER: The scalp veins are easily visualized.
The nurse is caring for an 8-year-old girl who requires medication that is only available in an enteric
tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which
statement indicates a need for further teaching? - ANSWER: "I can pinch her nose to make it easier to
swallow."
, Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part of his drug
therapy. What is the preferred injection site? - ANSWER: The vastus lateralis muscle...the largest
muscle mass in the groups
A toddler requires 1.5 mL (.05 oz) of an antibiotic given intramuscularly (IM). How will the nurse
administer this medication? - ANSWER: Divide the dose. Administer 0.75 mL (0.25 oz) IM in each
vastus lateralis.
The clinical nurse educator who oversees the emergency department in a children's hospital has
launched an awareness program aimed at reducing drug errors. What measure addresses the most
common cause of incorrect doses in the care of infants and children? - ANSWER: Having nurses check
their math calculations with a colleague before administering a drug
A 12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36 hour. The
pharmacy has 20 mg/2 mL on hand. How may milliliters would the infant receive, and what is the best
site for the injection? - ANSWER: 1.3 mL; vastus lateralis...For IM injections in infants, the mandatory
site for administration is the vastus lateralis muscle of the anterior thigh
The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old female who is
diabetic. What is the best method of medication administration? - ANSWER: Ask her where she would
like to have the nurse give the injection.
The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would
be the nurse's best approach? - ANSWER: ask if the child would like to take the medicine in a cup or
through an oral syringe
The nurse is planning to provide a preschool-age client with an oral medication. Which approach
should the nurse use to gain the child's cooperation? - ANSWER: Ask the child if a cup or oral syringe
is preferred to take the medicine.
The nurse is caring for a toddler diagnosed with iron deficiency anemia and prescribed an iron
supplement. What would the nurse include in the educational plan for the parents? Select all that
apply. - ANSWER: 1. Iron supplements may cause dark stools, so monitor for this as an expected
finding
2. Give the iron suppleiment with a liquid or food high in vitamin C (such as orange juice/oranges)
The nurse is preparing to administer an oral dose of metoclopramide to a 5-year-old child who weighs
40 lb (18.2 kg). The prescription reads metoclopramide 0.8 mg/kg/day to be given in 4 oral doses.
How many milligrams of metoclopramide would the nurse give per dose? - ANSWER: 3.65 mg per
dose...Multiply 0.8 mg by 18.2 kg, which equals 14.6 mg per day for the client's weight. Then, divide
14.6 mg by 4, the number of doses per day day, to arrive at 3.65 mg per dose.
The pediatric nurse is bringing the prescribed medication for a child but notes that the identification
band is missing. The parents are at the bedside holding the child. What is the bestmethod for
identifying the child? - ANSWER: Ask the parents to tell you his or her name and date of birth.
The nurse is providing discharge education to the parents of a 2-year-old who will be taking
amoxicillin orally at home. The nurse would include which statement in the teaching? - ANSWER: "Use
a dosing cap to measure the dosage."
A child with gastroenteritis has been unable to keep oral medication down. What nursing intervention
would be appropriate for this client? - ANSWER: Request an intravenous form of the medication.
A nurse has just given otic medication instructions to the parents of a 12-year-old child. Which
statement would indicate that the parents need further education concerning the medication? -
ANSWER: "I will pull the outer ear down and back before administering the medication."
